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Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?

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Resumo:Heart failure is characterized, from a functional point of view, as a pathology that causes limitations in carrying out the activities of daily living and consequent loss of functional and instrumental autonomy due to its classic symptoms such as: dyspnea, edema, easy tiredness and intolerance to activity. These symptoms make the patient become increasingly dependent and searching for inactivity as a way to preserve energy and avoid those symptoms. It is known that exercise is beneficial and safe when applied according to the characteristics of the patient and his medical condition, even in the process of stabilization of the acute phase of its pathology. Through the exploratory method, clinic and physiologic variables have been identified that could change with exercise and which allow a better response to exercise in the acute phase of the disease. Patients with decompensated heart failure of a cardiology ward were selected to comply with a minimum of 3 sessions of a program of physical exercise with increasing levels of intensity. Vital signs, Borg scale to subjective perception of effort and the London Chest Activity Daily Living (LCADL) scale for dyspnea associated with activities of daily living were assessed before and after the implementation of the program. Intensity and progression on the program were also evaluated by exercise parameters such as number of laps on the exercise peddler, number of meters walked and number of steps climbed. The study involved 20 patients with 64±9.9 years, 80% men, with a length of stay of 18.6 days on cardiology ward, between September 2013 and April 2014, with an average of 4.4 program sessions. Data obtained in LCADL (29.9±8.9 vs 20.9±6.8), exercise parameters and Borg score after the exercise showed a positive variation, meaning that patients improved their functional capacity along the program, despite being in acute phase of heart failure. Descriptive and inferential statistics analysis of the data allows us to conclude that patients with previous practice of exercise, lower basal heart rate, higher oxygen saturation, lower number of associated cardiovascular risk factors presented a better response to the exercise and with a better evolution throughout the program.
Autores principais:Delgado, Bruno
Outros Autores:Novo, André; Oliveira, Maria Filomena; Preto, Leonel; Mendes, Eugénia
Assunto:Heart failure Exercise Functional rehabilitation Functional capacity
Ano:2015
País:Portugal
Tipo de documento:documento de conferência
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB
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author Delgado, Bruno
author2 Novo, André
Oliveira, Maria Filomena
Preto, Leonel
Mendes, Eugénia
author2_role author
author
author
author
author_facet Delgado, Bruno
Novo, André
Oliveira, Maria Filomena
Preto, Leonel
Mendes, Eugénia
author_role author
contributor_name_str_mv Biblioteca Digital do IPB
country_str PT
creators_json_txt [{\"Person.name\":\"Delgado, Bruno\"},{\"Person.name\":\"Novo, André\",\"Person.identifier.orcid\":\"0000-0001-8583-0406\"},{\"Person.name\":\"Oliveira, Maria Filomena\"},{\"Person.name\":\"Preto, Leonel\",\"Person.identifier.orcid\":\"0000-0002-8126-7051\"},{\"Person.name\":\"Mendes, Eugénia\",\"Person.identifier.orcid\":\"0000-0001-6528-4284\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Biblioteca Digital do IPB
datacite.creators.creator.creatorName.fl_str_mv Delgado, Bruno
Novo, André
Oliveira, Maria Filomena
Preto, Leonel
Mendes, Eugénia
datacite.date.Accepted.fl_str_mv 2015-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2016-01-04T15:20:02Z
datacite.date.embargoed.fl_str_mv 2016-01-04T15:20:02Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Heart failure
Exercise
Functional rehabilitation
Functional capacity
datacite.titles.title.fl_str_mv Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.creator.none.fl_str_mv Delgado, Bruno
Novo, André
Oliveira, Maria Filomena
Preto, Leonel
Mendes, Eugénia
dc.date.Accepted.fl_str_mv 2015-01-01T00:00:00Z
dc.date.available.fl_str_mv 2016-01-04T15:20:02Z
dc.date.embargoed.fl_str_mv 2016-01-04T15:20:02Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10198/12546
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Foundation Rehabilitation Information
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Heart failure
Exercise
Functional rehabilitation
Functional capacity
dc.title.fl_str_mv Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_c94f
description Heart failure is characterized, from a functional point of view, as a pathology that causes limitations in carrying out the activities of daily living and consequent loss of functional and instrumental autonomy due to its classic symptoms such as: dyspnea, edema, easy tiredness and intolerance to activity. These symptoms make the patient become increasingly dependent and searching for inactivity as a way to preserve energy and avoid those symptoms. It is known that exercise is beneficial and safe when applied according to the characteristics of the patient and his medical condition, even in the process of stabilization of the acute phase of its pathology. Through the exploratory method, clinic and physiologic variables have been identified that could change with exercise and which allow a better response to exercise in the acute phase of the disease. Patients with decompensated heart failure of a cardiology ward were selected to comply with a minimum of 3 sessions of a program of physical exercise with increasing levels of intensity. Vital signs, Borg scale to subjective perception of effort and the London Chest Activity Daily Living (LCADL) scale for dyspnea associated with activities of daily living were assessed before and after the implementation of the program. Intensity and progression on the program were also evaluated by exercise parameters such as number of laps on the exercise peddler, number of meters walked and number of steps climbed. The study involved 20 patients with 64±9.9 years, 80% men, with a length of stay of 18.6 days on cardiology ward, between September 2013 and April 2014, with an average of 4.4 program sessions. Data obtained in LCADL (29.9±8.9 vs 20.9±6.8), exercise parameters and Borg score after the exercise showed a positive variation, meaning that patients improved their functional capacity along the program, despite being in acute phase of heart failure. Descriptive and inferential statistics analysis of the data allows us to conclude that patients with previous practice of exercise, lower basal heart rate, higher oxygen saturation, lower number of associated cardiovascular risk factors presented a better response to the exercise and with a better evolution throughout the program.
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oai_identifier_str oai:bibliotecadigital.ipb.pt:10198/12546
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person_str_mv Delgado, Bruno
Novo, André
Novo, André
https://www.ciencia-id.pt/7D14-8584-AB2B
7D14-8584-AB2B
http://orcid.org/0000-0001-8583-0406
0000-0001-8583-0406
Oliveira, Maria Filomena
Preto, Leonel
Preto, Leonel
https://www.ciencia-id.pt/451C-C9C6-C5D6
451C-C9C6-C5D6
http://orcid.org/0000-0002-8126-7051
0000-0002-8126-7051
Mendes, Eugénia
Mendes, Eugénia
https://www.ciencia-id.pt/7114-2BCC-DE82
7114-2BCC-DE82
http://orcid.org/0000-0001-6528-4284
0000-0001-6528-4284
publishDate 2015
publisher.none.fl_str_mv Foundation Rehabilitation Information
reponame_str Biblioteca Digital do IPB
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spelling engFoundation Rehabilitation Informationpt_PTHeart failure is characterized, from a functional point of view, as a pathology that causes limitations in carrying out the activities of daily living and consequent loss of functional and instrumental autonomy due to its classic symptoms such as: dyspnea, edema, easy tiredness and intolerance to activity. These symptoms make the patient become increasingly dependent and searching for inactivity as a way to preserve energy and avoid those symptoms. It is known that exercise is beneficial and safe when applied according to the characteristics of the patient and his medical condition, even in the process of stabilization of the acute phase of its pathology. Through the exploratory method, clinic and physiologic variables have been identified that could change with exercise and which allow a better response to exercise in the acute phase of the disease. Patients with decompensated heart failure of a cardiology ward were selected to comply with a minimum of 3 sessions of a program of physical exercise with increasing levels of intensity. Vital signs, Borg scale to subjective perception of effort and the London Chest Activity Daily Living (LCADL) scale for dyspnea associated with activities of daily living were assessed before and after the implementation of the program. Intensity and progression on the program were also evaluated by exercise parameters such as number of laps on the exercise peddler, number of meters walked and number of steps climbed. The study involved 20 patients with 64±9.9 years, 80% men, with a length of stay of 18.6 days on cardiology ward, between September 2013 and April 2014, with an average of 4.4 program sessions. Data obtained in LCADL (29.9±8.9 vs 20.9±6.8), exercise parameters and Borg score after the exercise showed a positive variation, meaning that patients improved their functional capacity along the program, despite being in acute phase of heart failure. Descriptive and inferential statistics analysis of the data allows us to conclude that patients with previous practice of exercise, lower basal heart rate, higher oxygen saturation, lower number of associated cardiovascular risk factors presented a better response to the exercise and with a better evolution throughout the program.application/pdfpt_PTIntervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?Delgado, BrunoPersonalNovo, AndréDSpacehttp://dspace.org/items/f17cfa22-2a97-4396-bdc6-4570baee6885DSpacehttp://dspace.org/items/f17cfa22-2a97-4396-bdc6-4570baee6885NovoAndréCiência IDhttps://www.ciencia-id.pt7D14-8584-AB2BORCIDhttp://orcid.org0000-0001-8583-0406Scopus Author IDhttps://www.scopus.com612710Oliveira, Maria FilomenaPersonalPreto, LeonelDSpacehttp://dspace.org/items/eb6fe9f4-f8fd-495d-84f3-f49309168f95DSpacehttp://dspace.org/items/eb6fe9f4-f8fd-495d-84f3-f49309168f95PretoLeonelCiência IDhttps://www.ciencia-id.pt451C-C9C6-C5D6ORCIDhttp://orcid.org0000-0002-8126-7051Researcher IDhttps://www.researcherid.comM-7528-2016Scopus Author IDhttps://www.scopus.com56465995600Scopus Author IDhttps://www.scopus.com57203240749PersonalMendes, EugéniaDSpacehttp://dspace.org/items/b761cb87-ecdb-4c95-8cb0-d58849faee1fDSpacehttp://dspace.org/items/b761cb87-ecdb-4c95-8cb0-d58849faee1fMendesEugéniaCiência IDhttps://www.ciencia-id.pt7114-2BCC-DE82ORCIDhttp://orcid.org0000-0001-6528-4284Scopus Author IDhttps://www.scopus.com56465467200HostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.ptISSNIsPartOf1650-19772016-01-04T15:20:02Z20152015-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/12546http://purl.org/coar/access_right/c_abf2open accessHeart failureExerciseFunctional rehabilitationFunctional capacity728261 bytesother research producthttp://purl.org/coar/resource_type/c_c94fconference object2015http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/c7d5fdc9-1552-4a3a-8424-22c2633baec8/downloadJounal of Rehabilitation Medicine47795796Riga
spellingShingle Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
Delgado, Bruno
Heart failure
Exercise
Functional rehabilitation
Functional capacity
status SINGLETON
subject.fl_str_mv Heart failure
Exercise
Functional rehabilitation
Functional capacity
title Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
title_full Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
title_fullStr Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
title_full_unstemmed Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
title_short Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
title_sort Intervention in cardiac rehabilitation: is exercise training effective in decompensated heart failure patients?
topic Heart failure
Exercise
Functional rehabilitation
Functional capacity
topic_facet Heart failure
Exercise
Functional rehabilitation
Functional capacity
url http://hdl.handle.net/10198/12546
visible 1